Ecohealth Midterm Evaluation Gorongosa Restoration Project Gorongosa National Park

Total Page:16

File Type:pdf, Size:1020Kb

Ecohealth Midterm Evaluation Gorongosa Restoration Project Gorongosa National Park ECOHEALTH ECOHEALTH MIDTERM EVALUATION GORONGOSA RESTORATION PROJECT GORONGOSA NATIONAL PARK By Lynne Gaffikin on behalf of the evaluation team October, 2013 1 Table of Contents ACRONYMS ........................................................................................................................................................ 3 BACKGROUND .................................................................................................................................... 5 GORONGOSA RESTORATION PROJECT (GRP) ............................................................................................. 5 ECOHEALTH PROGRAM ................................................................................................................................... 7 ECOHEALTH GOALS/OBJECTIVES .................................................................................................................. 9 EVALUATION PURPOSE ................................................................................................................ 11 EVALUATION METHODS ................................................................................................................................ 12 EVALUATION FINDINGS ................................................................................................................ 13 MEETING OBJECTIVES .................................................................................................................................... 13 BEST PRACTICES ............................................................................................................................................ 15 MONITORING AND EVALUATION (M&E) ................................................................................................... 18 MEETING ENVIRONMENTAL GOALS ............................................................................................................. 20 GOING TO SCALE ............................................................................................................................................. 22 INTEGRATING FOOD SECURITY AND NUTRITION ...................................................................................... 24 LEVERAGING OPPORTUNITIES ..................................................................................................................... 28 SUSTAINABILITY APPROACHES AND CHALLENGES ................................................................................... 30 EVIDENCE OF SUCCESS: SCALE UP OR FOCUS IN? ....................................................................................... 33 GENDER EQUITY ............................................................................................................................................. 36 CHALLENGES AND OPPORTUNITIES ........................................................................................ 39 CHALLENGES ................................................................................................................................................... 39 OPPORTUNITIES ............................................................................................................................................. 51 CONCLUSION ..................................................................................................................................... 59 TABLES ............................................................................................................................................... 61 Table 1: Gorongosa District Regulados .............................................................................................. 61 Table 2: Communities covered by Gorongosa District Health Centers ................................ 61 Table 3: Ecohealth support to 15 communities (as of September, 2013)* ........................ 62 ANNEXES ............................................................................................................................................ 63 Annex 1 - Map of the Park boundaries and BZ communities ................................................... 63 Annex 2 - GRP Organizational Chart ................................................................................................... 64 Annex 3 - Ecohealth Conceptual Framework .................................................................................. 65 Annex 4 - Evaluation Terms of Reference ......................................................................................... 66 Annex 5 - List of people interviewed .................................................................................................... 71 Annex 6 - Detailed Examples of Best Practices ............................................................................... 72 REFERENCES ..................................................................................................................................... 76 2 Acronyms ACIS Commercial Association of Beira AEW Agricultural extension workers ANC Ante-natal care APE Community Health Worker (Agente polivilante elementar) AIDS Acquired immunodeficiency syndrome ARV Antiretrovirals BCC Behavior change communications BZ Buffer zone CB Community-based CEC Community Education Center CHASS-SMT Clinical HIV/AIDS Systems Strengthening in Sofala, Manica, Tete CF Carr Foundation CHW Community health worker CLC Community leadership council DPS Provincial Health Directorate FAO United Nations Food and Agriculture Organization FFS Farmer Field School FP Family planning GBV Gender-Based Violence GGE Greater Gorongosa Ecosystem GHI Global Health Initiative GRM Government of the Republic of Mozambique HAI Health Alliance International HIV Human immunodeficiency virus IGA Income-generating activities IPS Integrated Package of Services IPT Intermittent preventative therapy for malaria GNP Gorongosa National Park GRP Gorongosa Restoration Project LTA Long-Term Agreement M&E Monitoring and Evaluation MOH Ministry of Health MINAG Ministry of Agriculture MMAS Ministry for Women and Social Action MNCH Maternal, newborn and child health MSGH Mount Sinai Global Health NASA National Aeronautics and Space Administration NGO Non-Governmental Organization NRM Natural Resource Management PSI Population Services International OVC Orphans and vulnerable children PEPFAR President’s Emergency Plan for AIDS Relief PES Economic and Social Development Plan PHE Population-health-environment PLHIV Persons living with HIV PMP Performance Monitoring Plan PMTCT Preventing Mother-to-Child Transmission 3 QA Quality Assurance RH Reproductive Health SDAE District Services for Economic Activities SDPI District Services for Planning and Infrastructure SDSMAS District Services for Health, Women and Social Welfare TB Tuberculosis TBA Traditional Birth Attendant USAID United States Agency for International Development USG United States Government WASH Water, hygiene and sanitation WLSA Women and Law in Southern Africa 4 Background Gorongosa Restoration Project (GRP) Gorongosa National Park (GNP) is located in the central Mozambique province of Sofala, surrounded by 6 districts (Gorongosa, Nhamatanda, Cheringoma, Muanza, Dondo and Maringue). Historically known for its diverse plant and animal populations, the park and its wildlife were devastated by the country’s many years of war. To help restore GNP’s 400 sq. km and associated ecosystem to its former vital state, in 2008, the Gregory C Carr Foundation (CF), entered into a 20-year Long-Term Agreement (LTA) with the Government of the Republic of Mozambique (GRM) to undertake the Gorongosa Restoration Project (GRP), working hand in hand with the Ministry of Tourism. Mount Gorongosa is a critical component of the regional ecosystem and in 2010 this area was officially linked to the national park. Taking Mount Gorongosa into account, the number of residents in the overall BZ has been estimated at between 150,000– 200,000 people. Key direct threats to the park, some interrelated (see below) include: Encroachment on protected areas Slash-and-burn agriculture Illegal logging Poaching Pollution from illegal alluvial gold mining In addition to increasing population growth, important drivers of the above conservation threats include: High levels of poverty in the surrounding communities Strong reliance on natural resources 1 GRP’s vision is biodiversity conservation that is actively linked with human and economic development to ensure that conservation benefits are locally realized and sustainable. Correspondingly, GRP’s core mission is the long-term protection of the Greater Gorongosa Ecosystem (GGE) for the benefit of its local residents. GRP’s mission is being realized via two interrelated efforts: restoration of the Park and sustainable development of surrounding communities, in particular those in the park’s Buffer Zone (BZ) (see Annex 1 for a map and boundaries of the Park including the 16 BZ communities). Key objectives of Park restoration are: i) protection of the Park’s biodiversity and natural ecosystem processes, and ii) regional poverty alleviation through ecotourism and other beneficial influences of the Park. The underlying assumption supporting these objectives is that a healthy, diverse ecosystem will provide an important foundation for economic and social development. Specifically, GRP is founded upon the belief that a sustainable tourism industry dedicated to maintaining ecological integrity within the Park and surrounding areas will stimulate economic growth, helping alleviate regional poverty. In this regard, successful
Recommended publications
  • World Bank Documents
    Document of The World Bank Public Disclosure Authorized Report No.: 84667-MZ Public Disclosure Authorized PROJECT PERFORMANCE ASSESSMENT REPORT THE REPUBLIC OF MOZAMBIQUE DECENTRALIZED PLANNING AND FINANCE PROJECT (IDA-HO670-MOZ) February 18, 2014 Public Disclosure Authorized IEG Public Sector Evaluation Independent Evaluation Group Public Disclosure Authorized ii Currency Equivalents (annual averages) Currency Unit = Mozambican metical (MZM) 2004 US$1.00 MZN 22,144.71 2005 US$1.00 MZN 22,850.81 2006 US$1.00 MZN 25,758.32 (January to July) 2006 US$1.00 MZN 25.89 (July to December) 2007 US$1.00 MZN 25.79 2008 US$1.00 MZN 24.19 2009 US$1.00 MZN 27.58 2010 US$1.00 MZN 34.24 Abbreviations and Acronyms CCAGG Concerned Citizens of Abra for Good Government CPIA Country Program and Institutional Assessments DGA Development Grant Agreement DPFP Decentralized Planning and Finance Project FCA Fundo de Compensação Autárquica FIL Fundo de Iniciativa Local FRELIMO Frente de Libertação de Moçambique GTZ German Technical Cooperation ICR Implementation Completion Report IDA International Development Association IEG Independent Evaluation Group IEGPS IEG Public Sector Evaluation M&E Monitoring and Evaluation MOPH Ministry of Public Works and Housing MOZ Mozambique NDPFP National Decentralized Planning and Finance Project PAD Project Appraisal document PARPA Action Plan for Reduction of Absolute Poverty PEDD Plano Estratégico de Desenvolvimento Distrital PEFA Public Expenditure and Financial Accountability PESOD Plano Económico Social e Orçamento Distrital PPAR Project Performance Assessment Report PRSCs Poverty Reduction Strategy Credits PSRP Public Sector Reform Project UNCDF United Nations Capital Development Fund UNDP United Nations Development Program UNICEF United Nations Children's Fund Fiscal Year Government: January I - December 31 Acting Director-General, Independent Evaluation Mr.
    [Show full text]
  • The Mozambican National Resistance (Renamo) As Described by Ex-Patticipants
    The Mozambican National Resistance (Renamo) as Described by Ex-patticipants Research Report Submitted to: Ford Foundation and Swedish International Development Agency William Minter, Ph.D. Visiting Researcher African Studies Program Georgetown University Washington, DC March, 1989 Copyright Q 1989 by William Minter Permission to reprint, excerpt or translate this report will be granted provided that credit is given rind a copy sent to the author. For more information contact: William Minter 1839 Newton St. NW Washington, DC 20010 U.S.A. INTRODUCTION the top levels of the ruling Frelirno Party, local party and government officials helped locate amnestied ex-participants For over a decade the Mozambican National Resistance and gave access to prisoners. Selection was on the basis of the (Renamo, or MNR) has been the principal agent of a desuuctive criteria the author presented: those who had spent more time as war against independent Mozambique. The origin of the group Renamo soldiers. including commanders, people with some as a creation of the Rhodesian government in the mid-1970s is education if possible, adults rather than children. In a number of well-documented, as is the transfer of sponsorship to the South cases, the author asked for specific individuals by name, previ- African government after white Rhodesia gave way to inde- ously identified from the Mozambican press or other sources. In pendent Zimbabwe in 1980. no case were any of these refused, although a couple were not The results of the war have attracted increasing attention geographically accessible. from the international community in recent years. In April 1988 Each interview was carried out individually, out of hearing the report written by consultant Robert Gersony for the U.
    [Show full text]
  • Drinking Water Supply and Sanitation Interventions in Rural Mozambique
    Report | no. 360 Report | no. Impact evaluation of drinking water supply and sanitation interventions in rural Mozambique Since 2006, the UNICEF–Netherlands Partnership evaluation office. It found evidence of a large Programme for Water Supply and Sanitation has increase in the use of improved water sources been supporting Water Supply and Sanitation and in the ownership and use of latrines. Much of programmes in Mozambique. The largest the increase can be attributed to an innovative programme, the ‘One Million Initiative’ aims to approach to sanitation. However, water from bring improved sanitation and clean water to improved sources and even more importantly, over one million people in rural Mozambique. stored water, are not always safe to drink. An Half-way through the programme, a joint impact element of subsidy will continue to be needed to evaluation was carried out by IOB and UNICEF’s sustain facilities and services. More than Water Published by: Ministry of Foreign Affairs Impact evaluation of drinking water supply and sanitation interventions in rural Mozambique Policy and Operations Evaluation Department (IOB) P.O. box 20061 | 2500 eb The Hague | The Netherlands www.minbuza.nl/iob © Ministry of Foreign Affairs | October 2011| ISBN 978-90-5328-414-8 11Buz283729 | E This project was a product of a cooperation between: Impact evaluation of drinking water supply and sanitation interventions in rural Mozambique More than Water Mid-term impact evaluation: UNICEF – Government of The Netherlands Partnership for Water Supply, Sanitation and Hygiene ‘One Million Initiative’, Mozambique Impact evaluation of drinking water supply and sanitation interventions in rural Mozambique Preface Drinking water supply and basic sanitation has been a priority for the Netherlands’ development co-operation and for UNICEF for many years.
    [Show full text]
  • Conservation & Law Enforcement In
    CONSERVATION & LAW ENFORCEMENT IN GORONGOSA & NIASSA: A STUDY OF THE CRIMINAL JUSTICE PROCESS FOR WILDLIFE CRIME, FROM APPREHENSION TO INCARCERATION JULY 2019 This publication was produced for review by the United States Agency for International Development. It was prepared by Mozambique Monitoring and Evaluation Mechanism and Services (MMEMS) for Management Systems International (MSI), A Tetra Tech Company. CONSERVATION & ENFORCEMENT IN GORONGOSA & NIASSA: A STUDY OF THE CRIMINAL JUSTICE PROCESS FOR WILDLIFE CRIME FROM APPREHENSION TO INCARCERATION Contracted under Contract No. AID-656-C-17-00002 Mozambique Monitoring and Evaluation Mechanism and Services (MMEMS) DISCLAIMER The authors’ views expressed in this report do not necessarily reflect the views of the United States Agency for International Development or the United States Government. CONTENTS ACRONYMS ............................................................................................................ II EXECUTIVE SUMMARY ........................................................................................ 4 BACKGROUND AND INTRODUCTION TO THE BUST-TO-BARS (B2B) STUDY ...................................................................................................................... 9 CONTEXT ................................................................................................................................................................. 9 STUDY PURPOSE, RATIONALE AND USES ..................................................................................................
    [Show full text]
  • World Bank Document
    Public Disclosure Authorized MIISTRY OF AGRICULTURE SUSTAIABLE IRRIGATIO DEVELOPMET PROJECT (PROIRRI) Environmental and Social Management Framework (ESMF) Public Disclosure Authorized Public Disclosure Authorized Final Report Prepared by: atasha Ribeiro e Aniceto Chaúque Public Disclosure Authorized Maputo, October 2010 LIST OF ABBREVIATIOS ANE National Administration of Roads/Administração Nacional de Estradas ARA Regional Water Management /Administração Regional de Aguas CNA National Cotton Company/ Companhia Nacional Algodoeira CBD Convention on Biological Diversity CEPAGRI Centre for the Promotion of Agriculture/Centro de Promoção da Agricultura CNDS National Commission for Sustainable Development/Comissão Nacional de Desenvolvimento Sustentável DCA Department of Animal Science/Departamento de Ciência Animal DCC District Consultative Committee/Conselho Consultivo distrital DDOPH District Directorate of Public Works and Housing/Direcção Distrital de Obras Públicas e Habitação DE Directorate of Economics/Direcção de Economia DEP Department of Roads and Bridges/ Departamento de Estradas e Pontes DER Department of Rural Extension/Departamento de extensão Rural DNAIA National Directorate of Environmental Impact Assessment/Direcção Nacional de Avaliação de Impacto Ambiental DNEE National Directorate of Electric Energy/Direcção Nacional de Energia Eléctrica DNS National Directorate of Health/Direcção Nacional de Saúde DNSA National Directorate of Agrarian Services/Direcvo Nacional de Serviços Agrários DNTF National Directorate of Land and
    [Show full text]
  • The Province of Sofala
    Agriculture, Fisheries and Food A study of the development and implementation of strategies for sustainable local land management based on practical experiences Part 1: Mozambique Imprint Published by: Deutsche Gesellschaft für Technische Zusammenarbeit (GTZ) GmbH Division Agriculture, Fisheries and Food Sector Project Land Management P.O. Box 5180 65726 Eschborn/Germany T +49 6196 79 – 0 F +49 6196 79 – 1115 E [email protected] I www.gtz.de Responsible: Tanja Pickardt, Sector Project Land Management Authors: Dr. Christoph Trusen, Dr. André Calengo, Berta Rafael Editor: Nicolas Lamadé Source and Copyright of Cover Photo: © GTZ Contact person at the Federal Ministry for Economic Cooperation and Development (BMZ): Dr. Stefan Schmitz Design: Nike Affeld Eschborn, July 2010 Strategies for sustainable local land management Part 1: Mozambique Table of Contents List of Abbreviations.......................................................................................................................................... 3 1. Executive Summary.............................................................................................................................. 4 2. Introduction........................................................................................................................................... 7 2.1 Objectives and Expected Output of the Study................................................................................ 7 2.2 Methodology.........................................................................................................................................
    [Show full text]
  • World Bank Document
    The World Bank Report No: ISR16913 Implementation Status & Results Mozambique National Decentralized Planning and Finance Program (P107311) Operation Name: National Decentralized Planning and Finance Program Project Stage: Implementation Seq.No: 9 Status: ARCHIVED Archive Date: 01-Dec-2014 (P107311) Public Disclosure Authorized Country: Mozambique Approval FY: 2010 Product Line:IBRD/IDA Region: AFRICA Lending Instrument: Technical Assistance Loan Implementing Agency(ies): Key Dates Public Disclosure Copy Board Approval Date 30-Mar-2010 Original Closing Date 30-Jun-2015 Planned Mid Term Review Date 30-Jun-2013 Last Archived ISR Date 12-Jul-2014 Effectiveness Date 30-Aug-2010 Revised Closing Date 30-Jun-2015 Actual Mid Term Review Date 18-Sep-2013 Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project Development Objective is to improve the capacity of local government to manage public financial resources for district development in a participatory and transparent manner. Has the Project Development Objective been changed since Board Approval of the Project? Public Disclosure Authorized Yes No Component(s) Component Name Component Cost Improving National Systems 3.20 Strengthening Participatory Planning and Budgeting 10.40 Enhancing Management and Implementation Capacity 9.20 Strengthening Oversight and Accountability 0.30 Knowledge Management 0.40 Effective Project Management and Coordination 3.90 Non-Common-Fund Activities 0.00 Public Disclosure Authorized Overall Ratings Previous Rating
    [Show full text]
  • Mozambique Country Programme Report
    Food and Agriculture Organization Mozambique Country Programme Report 2013 FOOD AND AGRICULTURE ORGANIZATION OF THE UNITED NATIONS (FAO) OFFICE OF THE FAO REPRESENTATION IN MOZAMBIQUE FAO MOzAMbique AnnuAl RepORT 2013 TAble OF COnTenTs Summary .......................................................................................................................5 Country context and FAO assistance ........................................................7 SECTION 1: Country-level results ...........................................................10 1.1. Progress in achieving CPF results .................................................10 1.2. Emerging priorities - programmatic window ......................26 SECTION 2: Looking forward - Challenges, emerging opportunities and next steps.................................................28 Annex ...............................................................................................................................33 FAO Mozambique Annual Report 2013 3 ACROnyMs And AbbReviatiOns BFFS Belgian Fund for Food Security CERF Central Emergency Response Fund CPF FAO Country Programming Framework CPLP Community of Portuguese Speaking Countries DPA Provincial Directorate of Agriculture FAO Food and Agriculture Organization FFP Fisheries Support Fund FFS Farmers Field School GEF Global Environment Facility HHP Highly Hazardous Pesticides HWC Human Wildlife Conflict IFAD International Fund for Agricultural Development IFDC International Fertilizer Development Corporation INE National Statistics Institute
    [Show full text]
  • PHR Technical Report Template
    USAID AGRIFUTURO PROJECT QUARTERLY PERFORMANCE MONITORING REPORT OCTOBER 11 – DECEMBER 11 January 2012 This publication was produced by USAID AgriFUTURO for review by the United States Agency for International Development. Charlene McKoin, October 2011. Quarterly Performance Monitoring Report. Bethesda, MD: USAID AgriFUTURO project, Abt Associates Inc. Contract/Program No.: EDH-1-00-05-00005-00, Task Order No. 10 Submitted to: Elsa Mapilele, COTR Agriculture, Trade and Business Office USAID/ Mozambique Abt Associates Inc. 4550 Montgomery Avenue, Suite 800 North Bethesda, Maryland 20814 Tel: 301.347.5000. Fax: 301.913.9061 www.abtassociates.com In collaboration with: CLUSA Lda.TECHNOSERVE Wingerts Consulting SAL&CALDEIRA Lda. USAID AGRIFUTURO PROGRAM ANNUAL PERFORMANCE MONITORING REPORT DISCLAIMER The author’s views expressed in this publication do not necessarily reflect the views of the United States Agency for International Development (USAID) or the United States Government CONTENTS Contents ......................................................................................... 5 Acronyms ....................................................................................... 6 1. Executive summary ........................................................... 8 1.1 impact of the changes on project performance ................. 9 1.2 Highlights and achievements ............................................ 9 1.3 Comparison targets versus actual for selected indicators .......................................................................
    [Show full text]
  • (FIP) in Mozambique Investment Plan DRAFT UT-REDD, MITADER
    Forest Investment Plan – Version 3.1 17.5.2016 Forest Investment Plan (FIP) In Mozambique Investment Plan DRAFT Version 3.1 UT-REDD, MITADER 1 Forest Investment Plan – Version 3.1 17.5.2016 Table of Contents Contents List of abbreviations and acronyms 4 Summary of Country Investment Plan 6 Section 1: Description of the country and sector context 14 Section 2: Identification of Opportunities for Greenhouse Gas Abatement 21 Section 3: Enabling policy and regulatory environment 24 3.1 National political commitment 24 3.2 Multi-sectoral coordination 25 3.3 MITADER Vision and Flagship Programs 26 3.4 Legal and Institutional Framework for Forests and Climate Change 32 3.5 Implementation Capacity and Challenges 43 Section 4: Expected Co-Benefits from FIP Investment 48 Section 5: Collaboration among MDBs and with other Partners 50 Section 6: Identification and rationale for projects and programs to be co-financed by FIP 52 6.1 Project/Module One: Mozambique Forest Investment Project (supported by the World Bank) 64 6.2 Project/Module Two: Emissions Reductions in the Forest Sector through Planted Forests with Major Investors-(IFC) 69 Section 7: Implementation potential with risk assessment 77 Section 8: Financing plan and instruments 82 Section 9: Results Framework for Investment Plan 84 ANNEX 1 – Projects Proposed for the Mozambique Investment Plan 89 Project/Module 1 - Mozambique Forest Investment Project (MozFIP) 90 Project/Module 2 - Emissions Reductions in the Forest Sector through Planted Forests with Major Investors 103 Annex 2: Stakeholder
    [Show full text]
  • CONSERVATION STATUS of the LION (Panthera Leo) in MOZAMBIQUE
    CONSERVATION STATUS OF THE LION (Panthera leo) IN MOZAMBIQUE _ PHASE 1: PRELIMINARY SURVEY Final Report - October 2008 TITLE: Conservation status of the lion (Panthera leo) in Mozambique – Phase I: Preliminary survey CO-AUTHORS: Philippe Chardonnet, Pascal Mésochina, Pierre-Cyril Renaud, Carlos Bento, Domingo Conjo, Alessandro Fusari, Colleen Begg & Marcelino Foloma PUBLICATION: Maputo, October 2008 SUPPORTED BY: DNAC/MITUR & DNTF/MINAG FUNDED BY: SCI FOUNDATION, CAMPFIRE ASSOCIATION, DNAC/MITUR & IGF FOUNDATION KEY-WORDS: Mozambique – lion – conservation status – status review – inquiries – distribution range – abundance – hunting – conflicts ABSTRACT: The IUCN-SSC organised two regional workshops, one for West and Central Africa (2005) and one for Eastern and Southern Africa (2006), with the intention to gather major stakeholders and to produce regional conservation strategies for the lion. Mozambican authorities, together with local stakeholders, took part in the regional exercise for establishing the Regional Conservation Strategy for the Lion in Eastern and Southern Africa. They recognised the importance of establishing a National Action Plan for the Lion in Mozambique and realized the lack of comprehensive information for reviewing the lion profile in the country. A survey has been launched to update the conservation status of the lion in Mozambique. The final report of this survey is expected to become a comprehensive material for submission as a contribution to a forthcoming National Action Plan workshop. The current report is the product of only the preliminary phase of this survey. The methods used are explained and preliminary results are proposed. A database has been set up to collect and analyse the information available as well as the information generated by specific inquiries.
    [Show full text]
  • Spreading Ideas: the Integrated District Evidence-To-Action Program to Improve Maternal, Newborn and Child Health
    Spreading IDEAs: The Integrated District Evidence-to-Action Program to Improve Maternal, Newborn and Child Health Kenneth Sherr Quinhas Fernandes [email protected] [email protected] Agenda • Introduction to the IDEAs project and evaluation design (KS) • Reflections on implementation science and its link with policy (QF) IDEAs Rationale • <5 Mortality has decreased substantially, but is stagnant due to deaths in the neonatal period • MOH policies based on strong evidence, though application is uneven • PHC service utilization continues to be high – >95% 1 ANC – >70% institutional births Source: Fernandes, et al. Lancet Global Health. 2014 IDEAs Initiative Goal 1 (supported through the DDCF/African Health Initiative; https://bit.ly/3ay1lcO): Reduce neonatal mortality by improving health system capacity to deliver a package of evidence-based interventions delivered at or around the time of birth Goal 2 (supported through NIH/NICHD R01HD092449): 2a: Generate evidence on the IDEAs strategy, using the RE-AIM model to assess the program’s Reach, Effectiveness, Adoption, Implementation, and Maintenance. 2b: Via activity based micro-costing and health outcomes modeling, estimate the potential budget and program impact from the payer perspective to scale-up IDEAs compared to the standard of care Central Mozambique – Manica & Sofala Provinces IDEAs Audit & Feedback Implementation Strategy Step 2: Audit and Feedback Meetings* Step 1: Facility & • 2 mtg per year per District Readiness 12 districts Assessment Iterative, • Performance • 2 cycles per year cyclical reviewed per 12 districts audit and • Action plans • Data Quality Audits feedback developed (& • Service Readiness updated) Assessments • Low and high performing facilities identified Step 3: Targeted Facility Support* • Action Plans Reviewed • Mentoring visits • Facility Support Grants *Led by District Health Management Teams, with support from Provincial leadership & external facilitation IDEAs A&F Districts 12 districts (of 25) and 154 facilities (of 269) in Manica and Sofala provinces 2015 Pop.
    [Show full text]